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0' ci SAN JOAQUIN COUNTY <br /> X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q...., ..a;P Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �rFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 1 Date: f <br /> Address: City: Zip Code: <br /> Owner/Operator. r , Telephone: <br /> Program Element: Program Rec d: 2 r" Inspection Type: <br /> S6180 Posted Yes Ro Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS; <br /> ro bL <br /> L11-f IL <br /> � vS <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: F <br /> 0 <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Ti �7 y <br /> EH Specialist: f ' Phone: `(�/ ��Z <br /> (O <br /> Time in: Ur 0 Time Out: Page of <br /> EHD 16-24 (2ntl pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />